- Poster presentation
- Open Access
CMR techniques and findings in children with myocarditis: a multicenter retrospective study
© Banka et al.; licensee BioMed Central Ltd. 2014
- Published: 16 January 2014
- Ejection Fraction
- Congenital Heart Disease
- Late Gadolinium Enhancement
- Regional Wall Motion Abnormality
CMR is increasingly used to diagnose myocarditis in adults but its use in pediatric-age pts is not well established. We sought to describe the clinical presentation, CMR imaging protocols, CMR findings, and outcomes in a multicenter cohort of children with myocarditis.
A retrospective review was conducted among 12 institutions from 3 countries. All pts meeting the following criteria were included: 1) age < 21 years, 2) ultimate clinical diagnosis of myocarditis by the referring physicians, 3) CMR examination within 30 days of presentation, and 4) no congenital heart disease. Clinical data and test results, including CMR findings, were abstracted from the medical record.
This is the largest study to date describing the CMR findings in children with myocarditis. The CMR techniques used, from most to least common, were LGE, T2W, FPP, and EGE. Abnormalities were most often seen with LGE followed by T2W, EGE, and FPP. There was significant practice variation in the CMR protocol between institutions. The information from this study should be useful in planning a prospective study to evaluate the diagnostic and predictive performance of CMR in children with suspected myocarditis.
This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.